Sleep Environment and the Risk of Sudden Infant Death Syndrome in an Urban Population: The Chicago Infant Mortality Study

摘要: Objective. To examine risk factors for sudden infant death syndrome (SIDS) with the goal of reducing SIDS mortality among blacks, which continues to affect this group at twice rate whites. Methods. We analyzed data from a population-based case-control study 260 deaths that occurred in Chicago between 1993 and 1996 an equal number matched living controls determine association sleep environment other variables related care. Results. The racial/ethnic composition groups was 75.0% black; 13.1% Hispanic white; 11.9% non-Hispanic white. Several during last were associated higher SIDS: placement prone position (unadjusted odds ratio [OR]: 2.4; 95% confidence interval [CI]: 1.7–3.4), soft surface (OR: 5.1; CI: 3.1–8.3), pillow use 2.5; 1.5–4.2), face and/or head covered bedding 1.3–4.6), bed sharing overall 2.7; 1.8–4.2), parent(s) alone 1.9; 1.2–3.1), combinations 5.4; 2.8–10.2). Pacifier decreased OR: 0.3; 0.2–0.5), as breastfeeding either ever 0.2; 0.1–0.3) or currently 0.1–0.4). In multivariate model, several remained significant: position, surface, use, than alone, not using pacifier. Conclusions. lower further black groups, sleeping, pillows, some types should be reduced.